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<br /> - _ . , ` PC Exhibit A ;
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<br /> _ , r . - � .. . City of.�Orono .: . � -.
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<br /> - � Va ri a n�ce� A,pRp I i cati.o n= -
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<br /> . Street'Atldress: � �- Appiication# �6 � �� �
<br /> � 2750 Kelley Parkway Date Received: �-ZI-l0
<br /> , �O� Orono, MN 55356 , , • _ _
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<br /> � Staff
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<br /> .z,., .-: • ,�,�";. Main: 952=249-4600 =�` , . :
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<br /> � � r : Fe
<br /> e $700 ,:
<br /> , ' fax: 952-249 4616 ..
<br /> Renewal , $350
<br /> � _���` ���`� Mailing Address: ;.. - After the-fact: , $1;400(double fee)
<br /> � 9kESHOg''� P.O. Box 66 � ,,y . .n . _ Escrow Fee: _`_
<br /> ` " ,"- C.rystal Bay;�MN.55323-0066. � '^
<br /> � � � _ $2,�500 new home/addition/
<br /> - - r•vm- _ � , - ` new structure
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<br /> " •`' � ` ' - � $ 600 other variance � .
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<br /> . This application'form must be completetl in full..,Applicant will be notified within 15 days as."to the status of the'< ��
<br /> `;. application:;,Incomplete applications:will :not:be placed on Planning Go.mmission Agendas:' ��
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<br /> . PROP,ERT1( INFORMATION:; . : ",:. .` - . .. , �.., • ' . . , ; ,
<br /> Site Address.�; ' :l� .3 5 CO n�o rcG�u c��'Qe�, ',D ro.�o, Nl N :SS.S-3�,/ -
<br /> Property Identification Number(PIN): , - : — // =`.�3 � j. � p /:.3 : �' _ � �
<br /> �.� .:� Date Property Acquir.ed (month/.year)� ���.-� j� p : ' .0 _Yes, I own the°adjacent parcels.. �w '� '�' � . � '
<br /> Zoning District: :y � - � G a � ' y " �
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<br /> AP.P;LICANT INFO MATION: (Cornplete legal.names and marital status�required for each interested�party) ,
<br /> . �.Name. �{ ✓�n W' 'SG�LUsSr��� ��SGinh:` ,D �.yw., .
<br /> . 'Phone (bome): _ d�-�1' 6- �1�"s i � :::Phone (work): ,�(3� �Y°{.�3'�00
<br /> Complete'Address: .. , . �, G� 6 �r �::r . - .. Sa u�k �
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<br /> : cS�• Go uis P ,'-NL%v 53�y�b
<br /> - City, State:&, I P .- ; .;,n _ �, .
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<br /> Email `I .v�n �.ScGtussleY�.ea�'ive.. <<:o�., �.�.. _�.�,� Fax � ... 7�3=.'75�b 3�0� ° .
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<br /> . "OWNER 1NF MATION: (Complete legal�names and marital statu required for each interested party) ;.
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<br /> Name. � � 'ven' . Ir�/, S�Giussler ; .. �SScrh,h� /� � a�.� . .
<br /> <' Fhone (home) ;.;. :�'��'?3�0-- �l� :S/ - :. ; Rhone (work): ; �63-7y.6-,37pD .. " ���
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<br /> �: CompleteAtldress: ..3 �e� Shu . . �ehur �uth � .._. : _ . , .' _
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<br /> City, State & Z� . . .� v,'s a.a rk. N 53�f�: - ,, , . . ,y , �
<br /> EmaiL��� ' �J' v.en; :s�G�u ss v�a . '�.�e. � �_ Fax:� '�6 3- ��f: �3�0� r
<br /> DESCRIP.TION OF_REQUEST, � !�� . �. �- ' ` �
<br /> Describe fhe request in.detail (attach additional sheets if necessary) ��
<br /> �_ �2�c�v�sT,��a ���D,!✓sr'��-�t- - -� t�t��o�c:;�P:�. .�°�-cc�:E �v �ua� �
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<br /> �ti �.�,�r��-�o.�. -o,�- ��t�� w�� .�� ���.s�? �Ex�sr e�2r��z%Y.�: . .
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<br /> Lasf Upiiated: 5/1172009 . , '' • � - - ` ' •
<br /> _ ,A . CITY UF ORONO
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